A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus?
3 cm below the umbilicus
5 cm above the umbilicus
3 cm above the umbilicus
At the umbilicus
The Correct Answer is D
At 22 weeks of gestation, the uterine fundus is typically located at or near the level of the umbilicus. Fundal height generally corresponds to gestational age in centimeters, so at 22 weeks, the fundus is expected to be approximately 22 cm from the pubic symphysis, which aligns with the umbilicus.
- A. 3 cm below the umbilicus: This is too low, as the fundus at 22 weeks should be at or slightly above the umbilicus.
- B. 5 cm above the umbilicus: This is too high, as the fundus typically reaches this level closer to 24–26 weeks.
- C. 3 cm above the umbilicus: This is slightly higher than expected for 22 weeks, though the fundus may be just above the umbilicus in some cases.
- D. At the umbilicus: This is the most accurate, as the fundus is typically at the level of the umbilicus at 20–22 weeks.
Final Answer: D. At the umbilicus
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a."Flush the perineal area twice a day for 20 minutes" is incorrect because the Peri bottle should be used after each urination or bowel movement, not just twice a day.
b."Use the whole Peri bottle of water to cleanse the perineum." The purpose of the Peri bottle is to thoroughly rinse the perineal area to keep it clean and reduce the risk of infection, especially after an episiotomy. Using the entire bottle ensures adequate cleansing.
c."First clean perineal area front to back with toilet paper" is not correct as this should be done carefully to avoid contamination. It is generally recommended to use the Peri bottle directly to rinse and then gently pat dry with toilet paper or a clean cloth.
d."Fill the Peri bottle with sterile water warmed to approximately 98 degrees F" is unnecessary; warm tap water is usually sufficient for this purpose.
Correct Answer is C
No explanation
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